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Individual

MR. CHAD D. CARAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
1430 JEFFERSON ST, LAUREL, MS 39440-4243
(601) 425-2273
(601) 425-1557
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-2273
(601) 425-1557

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R791067
MS
363LF0000X
Family Nurse Practitioner
Primary
R791067
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04988734
MS
Enumeration date
04/18/2007
Last updated
02/11/2014
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